JUNE 2 , 2013ACNM NATIONAL MEETING

NASHVILLE, TN

Midwifery Student Reportfrom the Liaisons to Student Issues Section

Student Report2013

“Grateful the ACNM is interested in the student experience…. Creating a space for us...”

“Appreciate the opportunity to attend meetings and become a part of ACNM at a student rate…”

“Our annual meeting provides opportunities to network with professionals who share common interests…….”

“ACNM is truly committed to assist our transition to practice….”

“Dedicated faculty and the support of fellow students is indispensable...”

Work GroupsBest Practices in Midwifery EducationTransition to PracticePreceptor IssuesCertified Midwives

Reviewed 2012 Student Report

Talking points crafted by student work groups to address key student concerns: Online collaboration

Conference calls Webinars Use of Google docs

SIS meeting at conference

We respectfully request the Board to consider current issues when crafting policies that influence student experiences.

• Different Programmatic Strengths in Midwifery Education

• Enhance Collaboration between Midwifery Educators

• Adaptation of New Technology

Best Practices in Midwifery Education

Students from all programs graduate with varying comfort with different Basic Midwifery Core Competencies

We celebrate the diversity and strengths of different programs, but recognize that every program has areas for growth

How can midwifery education programs share their expertise and strengths amongst themselves?

Different Programmatic Strengths

We suggest a leading role for ACNM and DOME for the development of evidence-based teaching practices and curricula

Promote research into “best practices” in Midwifery Education what makes a program and its new graduates successful?

Collegial sharing of information, resources, and ideas to share the strengths of education programs and promote consistent quality

Prepare new graduates for inter-professional practice

Enhance Collaboration between Midwifery Educators

Adaptation of New Technology

As midwifery education evolves, we should integrate new technology

Promote consistency between programs

Encourage access and uptake of high-quality internet resources, webinars, simulation, PowerPoint, means of communication, and other ACNM resources

Transition to Practice

• Defining the Issue

• What has been done so far?

• Recommendations

Defining the Issue

o New graduates are often not being considered for CNM job openings

o Limited availability of midwifery residency programs for new grads. o Existing programs are limited to out of hospital settings

o Difficulty navigating state licensure process due to lack of clarity, state variation, time, and financial burden

o Certification and job search process is expensive and new grads may struggle with finances during the process of searching for a job

What has been done so far?

• ACNM Residency Task Force • Established 2012, currently exploring

feasibility• Individual programs • e.g. Georgetown’s “Professional Aspects”

course includes a roadmap into practice • Midwifejobs.com • A valuable resource for midwifery students• accessible, up to date, and widely used

• Students greatly appreciate those practices that are willing to hire new grads and provide mentorship

Recommendations

• Certification and Credentialing• Begin student preparation for certification and hospital

privileging process early in their program• Provide an outline of the certification process on the ACNM

student webpage• Include students in ACNM’s strategic planning to facilitate

hospital credentialing• Continue the ACNM Residency/Internship Task Force• Work toward establishment of residency/internship programs

for new grads who would like to do a residency/internship• Implement more Annual Meeting workshops or webinars

for students• Helping students create a “roadmap” from graduating to

certification to starting a job may include individual program specifics

Preceptorship

• Defining the Issue

• What has been done so far?

• Recommendations

Availability of preceptors is limiting our numbers, resulting in trends toward negative population growth for our profession.

Limited accessibility of preceptors & facilities.

Professional Liability requirements limit where students can practice.

Competition with medical residents.

Defining the Issue

Division of Education developed a handbook for preceptors and database access.

Preceptor workshops at the annual meetings.Exhibit booth with resources for current

preceptors.Preceptor recognition awards. Funding continues to be addressed through

legislative channels. We appreciate all of the preceptors that are

here!

What’s been done already…

Identify a day to “push for preceptors” Emails sent to all certified CNMs/CMs.

“Match” link on ACNM website Include checkbox prompt for preceptorship

on AMCB certification renewal ACNM contacts interested preceptors & add to the

preceptor database Preceptor Incentives

REWARD THEM AND THEY WILL COME! Discount for ACNM membership & conference fees. Access to university library system. Increased awareness of CE credit for preceptors from

AMCB.

Student Recommendations

Student CMs

• Defining the Issue

• What has been done so far?

• Recommendations

Defining the Issue

• Shared Issues CM/CNM students• Preceptor shortage, expense, regulatory

variation by state• Distinct to CM• Diminished opportunities• Third party reimbursement issues• Exclusion from Medicare Equality Provision

of the ACA• Inability of CMs to qualify for loan

repayment through HRSA• Restricted access to prescriptive authority

• Lack of awareness of CM credential among potential preceptors

What has been done so far?

• ACNM’s excellent efforts to increase states’ recognition of CM credential lead to recent changes in regulation in Missouri and Delaware

• ACNM continues to challenge existing provider bias against CM by raising awareness of identical standards of education and practice

• Academic• Research on equal academic outcomes of

direct entry compare to nursing prepared midwives

• Inclusion of SM intensive health skills sessions

Recommendations

• Involve input from students and recent graduates in• Future inclusion of CMs in the Medicare Equity

Provision • Plans toward inclusion of CM-pathway students in the

HRSA loan repayment program

• Efforts to address the preceptor shortage should include subsections that highlight the CM-pathway

• Develop materials for students aimed at efficiently addressing preceptors and site staff lacking familiarity with the CM-pathway

• ACNM's state affiliates should make opportunities available for both CM and CNM students to participate in the advancement of the CM credential

Baylor UniversityBaystate Medical Center

California State University, FullertonCase Western Reserve UniversityColumbia UniversityEast Carolina UniversityEmory UniversityFrontier School of Midwifery and Family NursingGeorgetown UniversityMarquette UniversityMidwifery Institute of Philadelphia UniversityNew York UniversityOregon Health Sciences UniversitySan Diego State UniversitySeattle University

Robin EvensonCheryle Botin, Stacy Temple, Anna KeshislyaKendra Johnson

Corinne Stasko,Emily Hanavan

Lillian FunkeSheiva Miller-MillsWhitney MillerStephanie Lowe

Judith WafeAllyson HornsteinMegan O'Conner

Lillian HoferAlexAnn Westlake

Tricia St ClairJennifer Bishop

Shenandoah UniversityState University of New York Downstate Medical CtrTexas Tech University Health Sciences CenterUniversity of California, San Francisco University of Cincinnati Nurse- MidwiferyUniversity of Colorado DenverUniversity of FloridaUniversity of Illinois at ChicagoUniversity of KansasUniversity of Medicine and Dentistry of New JerseyUniversity of MichiganUniversity of MinnesotaUniversity of PennsylvaniaUniversity of Puerto Rico Grad Sch of Pub HlthUniversity of UtahUniversity of WashingtonVanderbilt UniversityYale University

Morgan WalkerIfe Akinade

Elizabeth Tombs, Angela Westfall

Mia Openshaw

Rachel Stall

Anne CloudMichele AndersonJoyce Garcia-GonzalezNancy RaileIliona De Santis

Minna NavvabAllison HarrKaren CullenNatalie Bruno

Annie OversonJane SilverAlexa ClayEmily MacLaury